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NR 304- Health Assessment II Final Exam Questions and
Answers all correct

 palpation of radial pulse - ☑️☑️ ☑P ️alpate both pulses noting the rate,
rhythm, elasticity of vessel wall and equal force


 grading pulse - ☑️
☑️☑3
️ + full bounding
 2+ normal
 1+ weak
 0 absent


 brachial pulse - ☑️
☑️
☑️palpate this pulse if you suspect arterial
insufficiency


 modified Allen's test - ☑️ ☑️ ☑️ tests for ulnar arterial insufficiency by
occluding both the radial and ulnar artery
 normal results: normal color of hand should reappear approximately 2-5
seconds
 abnormal results: pallor persists or a sluggish return to color suggest
occlusion of the collateral arterial flow


 temporal artery - ☑️
☑️☑p
️ alpated in front of the ear


 carotid artery - ☑️
☑️ ☑p️alpated in the groove b/t the sternomastoid
muscle and the trachea


 brachial artery - ☑️
☑️
☑️major artery supplying the arm


 radial artery - ☑️
☑️
☑️lies medial to the radius and wrist supplies blood to
the hand

,NR 304- Health Assessment II Final Exam Questions and
Answers all correct


 ulnar artery - ☑️ ☑️ ☑l️ ies lateral to the ulna. Deeper and often difficult to
feel. Supplies blood to the hand


 femoral artery - ☑️
☑️
☑️major artery in the leg. Palpated in the inguinal
area


 popliteal artery - ☑️ ☑️ ☑️ artery in the knee. Located posterior to the
patella. Divides into the anterior and posterial tibial artery


 anterior tibial - ☑️
☑️ ☑t️ ravels down the front of the leg on to the dorsal of
the foot becomes the dorsalis pedis.
 carries blood to the anterior compartment of the leg and dorsal surface of
the foot


 posterior tibial - ☑️
☑️ ☑t️ ravels down behind the medial malleolus and
forms the plantar arteries in the foot.
 carries blood to the posterior compartment of the leg and plantar surface
of the foot


 dorsalis pedis - ☑️
☑️ ☑️a blood vessel of the lower limb that carries
oxygenated blood to the dorsal surface of the foot


 claudication distance - ☑️
☑️
☑️the number of blocks walked or stairs
climbed to produce pain

,NR 304- Health Assessment II Final Exam Questions and
Answers all correct

 arterial claudication - ☑️
☑️☑p ️ain in the calf, thigh or hip or muscle
fatigue that occurs when walking a certain distance related to peripheral
arterial disease (PAD)


 peripheral perfusion - ☑️ ☑️ ☑c️ hecking for capillary refill by blanching the
nail beds and noting the time for color return
 normal is less than 1-2 seconds


 doppler - ☑️☑️ ☑️ used if pulses are too weak to detect by palpation,
monitor blood pressure in infants or children, measure low blood pressure
or blood pressure in the lower extremities
 A noninvasive test using sound waves to detect blood flow through blood
vessels
 ex. competent valves (varicosities)


 edema - ☑️
☑️☑fl
️ uid build up in the interstitial space


 PVD - ☑️ ☑️ ☑️ circulation disorder in which narrowed blood vessels reduce
blood flow to the limbs. Caused by arteriosclerosis (hardening of arteries
caused by plaque build up)
 Inspect skin for ulcers, temperature and color


 lymphedema - ☑️ ☑️☑️ swelling in the arms or legs caused by a blockage of
the lymphatic system , causes a build up of lymph fluid in tissues


 intermittent claudication - ☑️ ☑️ ☑️ a condition in which cramping pain in
the leg is induced by exercise, typically caused by obstruction of the arteries

, NR 304- Health Assessment II Final Exam Questions and
Answers all correct


 5 P's - ☑️ ☑️☑P ️ain
 Pulselessness
 Pallor
 Parasthesia (can't feel)
 Paralysis (can't move)


 Grading Edema - ☑️ ☑️ ☑+️ 1 mild pitting, no swelling
 +2 moderate pulling, indentation goes away quickly
 +3 deep pitting, swollen
 +4 very deep pitting, indentation stays, very swollen


 Arterial Occlusion - ☑️
☑️ ☑-️ 5 P's
 -Mottling
o Bluish/cyanosis
o decrease capillary refill
o cold temperature


 arterial insufficiency - ☑️
☑️
☑️- skin is cool
 -skin is thin and shiny
o no edema
 -no hair growth
o decreased pulses
 -yellow toenails
 -dependent rubor (ruddy red/blue)
 -elevated pallor


 venous insufficiency - ☑️
☑️
☑️- normal temperature
 -normal pulse